Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim Ly

Individual provider Nurse Practitioner · NPI 1710574637

Kim Ly is a Nurse Practitioner in San Francisco, California. Qualified in 2020, 6 years ago. Practices with UCSF Medical Group Business Services, a 1,531-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

400 Parnassus Ave Ste A610
San Francisco, CA 94143-2202
Phone: (415) 353-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95015876 (CA)

Record details

NPI number1710574637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2020
Last updated in NPPESDecember 26, 2020
Certification dateDecember 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ucsf Medical Group Business Services — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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